M.J. Day – Applying for Benefits

Initial Application for Benefits

Before you are eligible to be reimbursed for any benefits under this Plan, you must submit a written application for the benefit in a form and at times prescribed by the Board of Trustees.

You will become eligible the first day of the month following the date that the Board of Trustees approves your application for benefits. Please note that you do not have to apply for benefits at the earliest time that you are eligible.

Please contact the Trust Fund Office at (800) 635-3105 or your local union for help with your initial application.

Ongoing Verification Form

In order to receive continued payment of benefits under this Plan, you may be asked to submit verification of continued eligibility in a form and at times prescribed by the Board of Trustees.

Please contact the Trust Fund Office your local union for help with a continued verification forms.

Obligation to Furnish Information to the Board of Trustees

You are obligated to cooperate with the Board of Trustees and to provide any information to assist with eligibility verification when requested within 30 days of the request. If you fail to cooperate with requests for information from the Board of Trustees, they have the authority not to pay benefits under the Plan.

The Board of Trustees may request the following information including but not limited to:

• Your retirement status;
• Tax forms and records from the Social Security Administration concerning employment;
• Your marriage certificate;
• Birth certificates for an eligible Dependent;
• Proof of domestic partners eligibility; and
• A death certificate